Tropical ophthalmology
Autor(es): Pleyer U, Klauß V, Wilking H, Nentwich M M
Resumo: A number of new" (emerging) infections that can also cause inflammatory eye changes are appearing - becoming increasingly important. In the past, diseases such as chikungunya, dengue fever or West Nile virus infections were endemic in tropical regions, but are now exp-ing worldwide - causing significant morbidity - even mortality. "Globalization" - human migration are important factors leading to the import of these infections. Climate changes are probably even more important. Increasing temperatures provide suitable conditions for new vectors, - may lead to autochthonous transmission of infectious pathogens. Diagnosis of these diseases requires not only careful assessment of medical - travel history, but also the application of specific laboratory diagnostic tests. A broad spectrum of ocular involvement has been reported, with frequent posterior segment involvement. Emerging infections should therefore be considered in the differential diagnosis of retinitis, chorioretinitis, retinal vasculitis - optic neuropathy in a patient living in or traveling back from an endemic area. Since these infections are often vector (insect) borne - effective treatments are almost uniformly lacking, prevention is at least as important as prompt diagnosis - initiation of supportive care. Here, we focus on Chikungunya, Dengue fever, Ebola fever, the West Nile virus - Rickettsioses, which frequently demonstrate ocular involvement."
Palavras-Chave: Chikungunya fever; Dengue fever; Ebola infection; West Nile virus; Zoonoses
Imprenta: Der Ophthalmologe, v. 113, n. 1, p. 35-46, 2016
Identificador do objeto digital: 10.1007/s00347-015-0176-6
Descritores: Chikungunya virus - Infectious diseases; Chikungunya virus - Inflammation; Chikungunya virus - Viral infections; Chikungunya Virus - Virus; Chikungunya virus - Transmission; Chikungunya virus - Chikungunya fever; Chikungunya virus - Dengue
Data de publicação: 2016
